- Elevance Health (Nashville, TN)
- **Account Services /Client Management Director CareBridge - CareBridge Growth and Client Success** **Location:** Alternate locations may be considered. This position ... health, independence, and quality of life through home-care and community based services . The **Account Services /Client Management Director** is responsible for… more
- CenterWell (Las Vegas, NV)
- …be screened for TB **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two ... we want to help people everywhere, including our associates, lead their best lives. At We are seeking innovative...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- CenterWell (Austin, TX)
- …age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our full accessibility rights ... want to help people everywhere, including our team members, lead their best lives. We support our team members...givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and… more
- Spectrum Health and Human Services (Buffalo, NY)
- …the multidisciplinary team in conjunction with appropriate psychiatric support to ensure service excellence and courteous, helpful, and respectful services to ... community resources (ie, landlords, employers). + Conduct clinical assessments and provide direct clinical treatment, rehabilitation, and support services to… more
- Humana (Topeka, KS)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... and approaches to assignments. This role will manage and lead the data infrastructure and reporting methodologies in support...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare,Division of Encounter Data & Risk Adjustment ... Operations As a Supervisory Health Insurance Specialist, GS-0107-14, you will provide leadership in the directing, planning, overseeing and administration of key… more
- Aveanna Healthcare (Worcester, MA)
- …to medical conditions and bodily fluids. ⚠ Vaccine Requirement: As a Medicare/ Medicaid provider , Aveanna complies with all health-related employment regulations, ... At Aveanna Healthcare, we're more than a home care provider - we're a mission-driven team that empowers patients...every step of the way. We're seeking aClinical Managerto lead , mentor, and support a team of dedicated Clinical… more
- Covenant Health Inc. (Knoxville, TN)
- …This would include E/M, procedure, and ICD-10 reviews, as well as any needed provider or staff education. Also provides consulting services to the organization's ... network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services (http://www.covenanthealth.com/ services /) , and Covenant Medical Group… more
- State of Michigan (Lansing, MI)
- …Description *We are now accepting internship applications* The MDHHS mission is to provide opportunities, services , and programs that promote a healthy, safe, ... Operational Support (PPOs) Administration offers a dynamic internship program designed to provide students with hands-on experience in public service , strategic… more
- Sanford Health (Sioux Falls, SD)
- …strategic oversight and operational management of the organization's member and provider appeals, complaints, and grievance processes across all product lines, ... including ACA, Commercial, Medicare Advantage, Medicaid , DSNP, and ISNP. This role ensures adherence to...HHS, and quality regulations governing appeals and grievance resolution. Lead and manage the end-to-end appeals and grievances process… more